Mbs-mobile Imaging | |
11500 S Eastern Ave Ste 150 Henderson NV 89052-5576 | |
(725) 250-5885 | |
Not Available |
Full Name | Mbs-mobile Imaging |
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Speciality | Clinic/Center |
Location | 11500 S Eastern Ave Ste 150, Henderson, Nevada |
Authorized Official Name and Position | Tiffany Obene (OWNER) |
Authorized Official Contact | 9189060249 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mbs-mobile Imaging 11500 S Eastern Ave Ste 150 Henderson NV 89052-5576 Ph: (725) 250-5885 | Mbs-mobile Imaging 11500 S Eastern Ave Ste 150 Henderson NV 89052-5576 Ph: (725) 250-5885 |
NPI Number | 1851168652 |
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Provider Enumeration Date | 12/11/2023 |
Last Update Date | 01/20/2024 |
Medicare PECOS PAC ID | 8729426192 |
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Medicare Enrollment ID | O20240403004320 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851168652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Tiffany Obene |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1619580503 PECOS PAC ID: 6901216860 Enrollment ID: I20201104000000 |
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